PARADISE FAMILY PRACTICE LLC
NPI 1609662337
Nurse Practitioner - Family in Port Orange, FL
About Paradise Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PARADISE FAMILY PRACTICE LLC (NPI 1609662337) is a healthcare organization registered as a family in Port Orange, Florida and active in the NPI registry since April 2025. The organization lists Cassie Harrison, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Paradise Family Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Paradise Family Practice LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paradise Family Practice LLC's NPI number?
The NPI number for Paradise Family Practice LLC is 1609662337. It was assigned to this organization in the NPPES registry on April 18, 2025.
Where is Paradise Family Practice LLC located?
Paradise Family Practice LLC is located at 1402 Dunlawton Ave, Port Orange, FL 32127. The listed phone number is (386) 561-9026.
What is Paradise Family Practice LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paradise Family Practice LLC enrolled in Medicare?
Yes. Paradise Family Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Paradise Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Paradise Family Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Paradise Family Practice LLC was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Paradise Family Practice Llc · NPI 1609662337
Family organization in Port Orange, Florida. Organization record, active in the CMS NPPES registry since April 18, 2025.
## Identity
- **NPI:** 1609662337 (Entity type: Organization)
- **Enumerated:** April 18, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Cassie Harrison, OWNER
## Practice location
- **Address:** 1402 DUNLAWTON AVE, Port Orange, FL 32127-2917
- **Phone:** (386) 561-9026 · **Fax:** (828) 800-9933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609662337) · Data from the CMS NPPES public registry.